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ADVANCED URGENT CARE LLC NPI 1093173304


NPI Information

NPI: 1093173304
Provider Name: ADVANCED URGENT CARE LLC

Doing Business As: ADVANCED URGENT CARE AND OCCUPATIONAL MEDICINE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 06D2091508

Address:
112 S DENVER AVE
FORT LUPTON, CO
ZIP 80621
Phone: (303) 659-9700
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ADVANCED URGENT CARE LLC is an urgent care clinic center in Fort Lupton, CO. ADVANCED URGENT CARE LLC NPI is 1093173304. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Urgent Care And Occupational Medicine.

The provider's business location address is:

112 S DENVER AVE
FORT LUPTON, CO
ZIP 80621-306
Phone: (303) 659-9700
Fax: (303) 558-8222

The provider's authorized official is Ellen Stockton .
The authorized official title is Billing Manager and has the following contact phone number (303) 659-9700.

The CLIA number assigned to this NPI record is 06D2091508 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/1/2016 and was last updated on 3/29/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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